Reply To: Dr. Kang – 1 Year update – Direct Hernia repair

[Good intentions]

It would be very interesting to know what she considers “trouble”, and how she could differentiate your hernia from others. Does she have a belief that she can predict “trouble” with a patient based on the type of hernia repair performed?

I doubt that the trouble she referred to was chronic pain. The vast majority of attempts to define an avoidable cause of chronic pain from mesh have been failures. If anyone has a provable way to continue to use mesh and reduce the chronic pain rate they have not made a good case for it in the literature.

The mesh products seem to have inherent chronic pain properties.